Springfield MassHealth Enrollment Center (MEC) Moving October 24
Springfield MEC Moving Information
Reprocess Behavioral Health Urgent Care (BHUC) Claims Incorrectly Denied with Edit 5125
MassHealth identified an issue with affecting BHUC claims which caused claims to deny incorrectly with edit 5125 ‘Missing procedure on BHUC bundle claim’. The affected BHUC claims have been reprocessed and will appear on subsequent remittance advices. If you have questions regarding this message, please contract MassHealth at (800) 841-2900 or provider@masshealthquestions.com.
Advancing Interoperability and Improving Prior Authorization Processes
On January 17, 2024, the Centers for Medicare and Medicaid Services (CMS) issued the Advancing Interoperability and Improving Prior Authorization Processes Final Rule. The final rule emphasizes the need to improve health information exchange to achieve appropriate and necessary access to health records for patients (members), healthcare providers, and payers. The rule also focuses on… Continue Reading Advancing Interoperability and Improving Prior Authorization Processes